DOCSLIB.ORG

Unit-Level Activity and Outcomes National Joint Registry

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Unit-Level Activity and Outcomes National Joint Registry HIPS KNEES ANKLES ELBOWS SHOULDERS Unit-level activity and outcomes National Joint Registry 17th Annual Report 2020 Surgical data to 31 December 2019 ISSN 2054-183X (Online) National Joint Registry | 17th Annual Report Unit performance SRR is 1, the number of revisions is compatible with the number expected for that unit. This section shows indicators for hip and knee joint replacement procedures by trust, local health board • Control limits for funnel plots are normally set at and unit (hospital). This was first included in 2012 and 95% and 99.8% (approximates to 2 or 3 standard is part of the Government’s transparency agenda. deviations). Our normal six-monthly review process It is based on procedures carried out during the focuses on those above the upper limit of the latter. 2019 calendar year and submitted to the NJR by 29 One might expect, however, that one in 500 would February 2020. be outside the 99.8% limits (above or below) just by chance. In the following table we have highlighted in Hospital information (excluding outlier analysis) is red (1) units above the upper of the 99.8% control based on the actual operation date (1 January 2019 limits. Previously we have reported on those units to 31 December 2019). Where hospitals were open above the 99.99% control limits, but this has now been in 2019 for orthopaedic procedures but have not removed from the report. submitted data to the NJR, they are included in the Summary of the methodology for unit 90-day following table but with no procedure data. mortality rates: At the time of publication, it has not been possible to • The standardised mortality ratio (SMR) is plotted produce compliance figures for the financial year 1 against number of expected deaths. The SMR is the April 2019 to 31 March 2020 due to the unavailability number of actual deaths within 90 days of primary of data from the Hospital Episodes Statistics (HES) joint replacement, divided by the number of expected service. deaths in this period. The number of expected deaths has been calculated after adjustment for Unit outlier analysis methodology patient characteristics (age, gender and ASA grade Unit outlier analysis covers all primary procedures of patients). Analysis for hips has excluded operations performed from 15 February 2010 to 14 February undertaken for trauma, failed hemi-arthroplasty and, 2020. since November 2014 (when recording of this began), hips implanted for metastatic cancer. Unit outlier analysis covers all primary procedures • Control limits are as for revisions above performed from 15 February 2010 to 14 February 2020. Any units identified as potential outliers have been The outlier analyses made use of funnel plots from notified. All units are provided with their NJR Annual statistical process control methodology. These aim Clinical Report and additionally have access to NJR’s to distinguish normal variation between units (which online NJR Management Feedback system which is is to be expected) from unusual differences (termed updated annually. ‘special cause’ variation), which may indicate the need for further investigation. Funnel plots enable units of In earlier Annual Reports, the NJR has reported different sizes to be compared; performance indicators outlying hospitals based on all cases submitted to the based on smaller numbers of patients will have greater NJR since April 2003. To reflect changes in hospital variability and this in turn is reflected by wider control practices and component use, the NJR now reports limits. outlying hospitals based on the last ten years (15 February 2010 to 14 February 2020 inclusive) and five Summary of the methodology for unit revision rates: years of data (15 February 2015 to 14 February 2020 • The standardised revision ratio (SRR) is plotted against inclusive). These cuts of data exclude the majority the number of expected revisions. The SRR is the total of withdrawn outlier implants and metal-on-metal number of revisions divided by the number of expected total hip replacements from analysis, and thus better revisions for that unit’s caseload in respect of the age represent contemporary practice. group, gender and the diagnosis of the patients. If the www.njrcentre.org.uk 2 National Joint Registry | 17th Annual Report Please note for the data in the following table: Consent and Linkability are: Red if lower than 80% Amber if equal to or greater than 80% and lower than 95% Green if 95% or more • Linkability for some hospitals will be lower than expected if they have private patients from outside England and Wales • Data covers procedures carried out between 1 January 2019 and 31 December 2019 Outlier analyses are: Red if units are above the upper of the 99.8% control limits (approximates to 3 standard deviations (SDs)) Green if units are within the expected range.. The table uses the following footnotes: 1 Consent rate - percentage of cases submitted to the NJR with patient consent confirmed. 2 Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR. 3 Outliers with respect to 90-day mortality following primary operations performed from 2015 onwards [from 15 February 2015 to 14 February 2020 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (∆). 4 Outliers with respect to revisions (at any time) following primary operations performed from 2010 onwards [from 15 February 2010 to 14 February 2020 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (∆). 5 Outliers with respect to revisions (at any time) following primary operations performed from 2015 onwards [from 15 February 2015 to 14 February 2020 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (∆). 6 Hospital has not submitted data. www.njrcentre.org.uk 3 National Joint Registry | 17th Annual Report Trust/Local Health Board/Company Outliers: Hips Outliers: Knees Average Number of Number of Consent Average Percentage age at Revision Revision Revision Revision procedures consultants rate (%) Linkability ASA grade (%) male operation 90-day rate since rate since 90-day rate since rate since Hospital 2019 2019 20191 (%) 20192 2019 2019 2019 mortality3 20104 20155 mortality3 20104 20155 Aintree University Hospitals NHS Foundation Trust Aintree University Hospital Sefton Suite 18 2 78% 94% 1.9 53% 69.3 University Hospital Aintree 479 21 96% 99% 2.3 44% 68.4 ∆ Airedale NHS Foundation Trust Airedale General Hospital 464 7 98% 100% 2.5 35% 72.2 Aneurin Bevan Health Board Nevill Hall Hospital 915 11 97% 100% 2.3 40% 70.1 ∆ Royal Gwent Hospital 439 16 100% 100% 2.4 37% 72.3 St Woolos Hospital 999 20 98% 98% 2.0 42% 68.4 Ysbyty Ystrad Fawr 8 2 100% 100% 1.9 50% 63.8 Ashford and St Peter's Hospitals NHS Foundation Trust Ashford Hospital 833 16 93% 99% 2.0 40% 70.4 ∆ St Peter's Hospital 94 14 93% 99% 2.6 34% 75.4 Barking Havering and Redbridge University Hospitals NHS Trust King George Hospital 575 14 89% 99% 2.3 39% 70.8 Queens Hospital 69 16 26% 90% 2.6 32% 75.4 Barnsley Hospital NHS Foundation Trust Barnsley District General Hospital 683 8 91% 98% 2.2 47% 68.8 The table uses the following footnotes: 1 Consent rate - percentage of cases submitted to the NJR with patient consent confirmed. 2 Linkability - the proportion of records which include a valid NHS number compared with the number of procedures recorded on the NJR. 3 Outliers with respect to 90-day mortality following primary operations performed from 2015 onwards [from 15 February 2015 to 14 February 2020 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (∆). 4 Outliers with respect to revisions (at any time) following primary operations performed from 2010 onwards [from 15 February 2010 to 14 February 2020 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (∆). 5 Outliers with respect to revisions (at any time) following primary operations performed from 2015 onwards [from 15 February 2015 to 14 February 2020 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (∆). 6 Hospital has not submitted data. 4 www.njrcentre.org.uk National Joint Registry | 17th Annual Report Trust/Local Health Board/Company Outliers: Hips Outliers: Knees Average Number of Number of Consent Average Percentage age at Revision Revision Revision Revision procedures consultants rate (%) Linkability ASA grade (%) male operation 90-day rate since rate since 90-day rate since rate since Hospital 2019 2019 20191 (%) 20192 2019 2019 2019 mortality3 20104 20155 mortality3 20104 20155 Barts Health NHS Trust Gateway Surgical Centre 352 20 95% 99% 2.0 33% 66.2 Newham General Hospital 2 1 100% 100% 2.5 0% 70.4 The Royal London Hospital 255 16 99% 99% 2.5 47% 68.4 Whipps Cross University Hospital 236 10 98% 99% 2.4 37% 72.0 Basildon and Thurrock University Hospitals NHS Foundation Trust Basildon University Hospital 626 12 70% 97% 2.5 39% 71.5 Bedford Hospital NHS Trust Bedford Hospital South Wing 477 8 94% 97% 2.4 43% 70.8 Belfast HSC Trust Musgrave Park Hospital 2541 38 100% 100% 2.1 43% 67.9 Royal Victoria Hospital 171 18 62% 60% 2.4 26% 70.2 Betsi Cadwaladr University Health Board Abergele Hospital 543 9 100% 100% 2.0 42% 70.1 ∆ Glan Clwyd General Hospital 259 8 100% 100% 2.7 46% 74.3 Wrexham Maelor Hospital 593 10 97% 99% 2.2 40% 70.4 ∆ Ysbyty Gwynedd 609 9 93% 99% 2.4 43% 70.4 Blackpool Teaching Hospitals NHS Foundation Trust Blackpool Victoria Hospital 349 13 93% 97% 2.3 38% 71.0 The table uses the following footnotes: 1 Consent rate - percentage of cases submitted to the NJR with patient consent confirmed.
Load more

Recommended publications
  • Agenda Annex
    FORM 2 SHEFFIELD CITY COUNCILAgenda Annex Full Council Report of: Chief Executive ________________________________________________________________ Report to: Council ________________________________________________________________ Date: 4th March 2016 ________________________________________________________________ Subject: Polling District and Polling Place Review ________________________________________________________________ Author of Report: John Tomlinson 27 34091 ________________________________________________________________ Summary: Following the recent ward boundary changes the Authority is required to allocate Polling Districts and Polling Places. ________________________________________________________________ Reasons for Recommendations: The recommendations have been made dependent on the following criteria: 1. All polling districts must fall entirely within all Electoral areas is serves 2. A polling station should not have more than 2,500 electors allocated to it. ________________________________________________________________ Recommendations: The changes to polling district and polling place boundaries for Sheffield as set out in this report are approved. ________________________________________________________________ Background Papers: None Category of Report: OPEN Form 2 – Executive Report Page 1 January 2014 Statutory and Council Policy Checklist Financial Implications YES Cleared by: Pauline Wood Legal Implications YES Cleared by: Gillian Duckworth Equality of Opportunity Implications NO Cleared by: Tackling Health
    [Show full text]
  • Hot 100 2016 Winners in London’S Residential Market CBRE Residential 2–3 Hot 100 2016
    CBRE Hot 100 2016 winners in London’s residential market CBRE Residential 2–3 Hot 100 2016 The year is drawing to a close and so our annual Hot 100 report is published. Find out where was hot in 2016. Contents Best performing locations 4–5 Most affordable boroughs 8–9 For nature lovers 10–11 For shopaholics 14–15 Boroughs for renters 16–17 Best school provision 20–21 Tallest towers 22–23 Highest level of development 24–25 Demographic trends 28–29 Best economic performance 30–31 CBRE Residential 4–5 Hot 100 2016 Top 10 Best performing locations Although prices remain highest in Central London, with homes in Kensington and Chelsea averaging £1.35 million, the other London boroughs continue to see the highest rate of growth. For the second year running Newham tops the table for price growth. This year prices in Newham increased by 24%; up from 16% last year. The areas characterised by significant regeneration, such as Croydon and Barking and Dagenham, are recording price rises of 18% and 17%, which is well above the average rate of 12%. Top Ten Price growth Top Ten Highest value 1 Newham 23.7% 1 Kensington and Chelsea £1,335,389 2 Havering 19.0% 2 City of Westminster £964,807 3 Waltham Forest 18.9% 3 City of London £863,829 4 Croydon 18.0% 4 Camden £797,901 5 Redbridge 18.0% 5 Ham. and Fulham £795,215 6 Bexley 17.2% 6 Richmond upon Thames £686,168 7 Barking and Dagenham 17.1% 7 Islington £676,178 8 Lewisham 16.7% 8 Wandsworth £624,212 9 Hillingdon 16.5% 9 Hackney £567,230 10 Sutton 16.5% 10 Haringey £545,025 360 Barking CBRE Residential 6–7 Hot 100 2016 CBRE Residential 8–9 Hot 100 2016 Top 10 Most affordable boroughs Using a simple ratio of house prices to earnings we can illustrate the most affordable boroughs.
    [Show full text]
  • Hospital List
    HEALTH+ HOSPITAL LIST For members Hospital List. NHS = NHS hospitals with private facilities P = Psychiatric hospital. Access to these hospitals is only available if you have selected the Mental Health option on your plan SPECIALIST INCOME PROTECTION HEALTH+ HOSPITAL LIST Where can I get treatment? As a Health+ member, you have access to leading private facilities which provide quality medical care. You can choose from three different lists: Essential Includes hospitals from the largest hospital groups and NHS private patient units. Standard Extends the coverage of the Essential list to include independent hospitals and clinics. Extended Offers the widest choice and provides access to a greater number of London hospitals. If you already have a Health+ policy, please check your Policy Certificate to find out which hospital list you are covered on. Please note you are only eligible for treatment at hospitals on your chosen list. Hospital lists often change as hospitals and clinics are added or removed, so you should always check with us before arranging treatment on 0300 123 3253. 2 of 16 England Essential Standard Extended Bedfordshire BMI The Manor Hospital Bedford 3 3 3 Luton & Dunstable Hospital Luton NHS 3 3 3 Berkshire The Bridge Clinic Maidenhead 3 3 Spire Dunedin Hospital Reading 3 3 3 Royal Berkshire Hospital Reading NHS 3 3 3 Berkshire Independent Hospital Reading 3 3 3 Circle Reading Reading 3 3 Spire Thames Valley Hospital Slough 3 3 3 Wexham Park Hospital Slough NHS 3 3 3 Cardinal Clinic Slough P 3 3 3 BMI The Princess Margaret
    [Show full text]
  • The Westbournian Yearbook
    The Westbournian Yearbook 2015–2016 Staff List Westbourne School 2015/16 Educating girls and boys for life GOVERNORS SENIOR SCHOOL Mr S Hinchliffe Chairman and local resident Art & Design Mr M Farn BA (Hons) PGCE Mr A Eaton Current parent and former pupil CDT Mr C Bell BA (Hons) PGCE Mr J Kenworthy Parent of current pupils Drama/Religion Mrs N Rigby BA (Hons) PGCE Mrs G Radley Parent of current pupils English Mrs L Wells BA (Hons) PGCE Mr T Strike Parent of current pupil English Miss C Smith BA (Hons) PGCE Mr I Wileman Former head teacher English/Media Mrs D Loane BA (Hons) PGCE Mr D Merifield Parent of current pupil Food Technology Mrs D Loasby BA (Hons) PGCE Ms C Lawton Partner at Jolliffe Cork French Mme V Hinchliffe Maîtrise (Rennes) Mrs S Kay Former parent French Mrs A Palmer BA (Hons) PGCE Mr S Goodhart Former head teacher Geography Mr I Davey BA (Hons) PGCE Geography/Games/ HEADMASTER Mr S Glover BSc (Hons) History Mr J B Hicks BEd (Hons) MEd History Mrs J Briddock BA (Hons) PGCE SENIOR MANAGEMENT TEAM ICT Mr P T Hinchliffe Learning Support Mrs N Day BA (Hons) PGCE, CPT3A, BPS Deputy Head of Senior School Mr P Birbeck MA (Cantab) PGCE Mr B Adebola BSc (Hons) PGCE Mrs L Cannell BA in Primary Education, Mathematics Mr P Birbeck MA (Cantab) PGCE Head of Junior School NPQH Mathematics Mr G Beckett Cert Ed Exams Officer/Staff Training Mrs J Briddock BA (Hons) PGCE Mathematics Mr P Bunton BA (Hons) PGCE Bursar/Registrar Mr C A Heald BA (Hons) Mathematics Mr C Allison MA BA Marketing Manager Mrs A Bywater PGCE Music Mrs M Pritchett BA
    [Show full text]
  • MEDICAL CARE PLAN Private Medical Cover for You and Your Family
    INCREASED BENEFITS FOR 2021 MEMBERS MEDICAL CARE PLAN Private medical cover for you and your family . E INSU NC RA A N R C U E S . N I I N . S E U R C A N N A C R INSURANCE E U S . N I I N S . U E R C A N This brochure includes promotional and contractual information Promotional WHY YOU NEED PRIVATE MEDICAL COVER The NHS is good at what it does, however, no state funded scheme can offer the benefits of Private Medical Cover. All of us want the peace of mind offered by one or all of the following: • Bypass lengthy NHS waiting lists and quickly receive • Private medical care can speed up the recovery medical attention process • Your own hospital room with en-suite facilities and • Your family and loved ones can visit any time your own TV • Private Hospitals strive to ensure that the risk of • You choose the specialist at a location that is infection for their patients is kept as low as possible convenient for you and focus on hygiene and infection control as a top priority • You see the Consultant, not their registrar or trainee 2 Promotional WHY CHOOSE THE MEDICAL CARE PLAN? MEMBERS • All the benefits of private medical treatment for you and your family. • VIP treatment with the specialist of your choice, at the time of your choice, at the WHO ARE HMCA? hospital of your choice. • Any hospital on our list may be used and others with prior HMCA has specialised in providing benefits for membership groups agreement.
    [Show full text]
  • Goodluck Hope
    Wednesday 21 June 2017 Perfect for Homes& outdoors Fabrics Property Page 12 COMMUTING: SPORTY SUMMERS P8 AMSTERDAM P14 TOP DESIGN GRADUATES P18 SPOTLIGHT ON EAST FINCHLEY P30 Goodluck Hope Leamouth Peninsula is back on the map in this booming part of east London: Page 6 4 WEDNESDAY 21 JUNE 2017 EVENING STANDARD Homes & Property | News More bad news from Battersea Trophy home of UNDREDS of first-time buyers promised cut-price the week homes at Battersea Power Station will no longer be all in the best able to buy into London’s Hmost-hyped regeneration zone. possible taste Originally, 636 homes were ear- marked by the Battersea Power Station at Park Gate Development Company for first time- buyers and renters unable to afford the £4 million: show you are mega prices asked for the 4,239 luxury one of the deserving rich by homes on the site. moving to Park Gate, a Now the development company says beautifully proportioned the entire project may become “finan- Grade II-listed eight- cially unviable” if it is forced to stick to bedroom Georgian country room with French windows Gate was built in 1807 in the 2011 promise to include so many pile set in 27 acres just that open to a York stone classic period country house affordable homes. It says it made the outside Lewes in East Sussex, terrace and walled garden. style. Outside has barn undertaking when London’s new-build a short drive from the opera The house and estate, part stabling, a tennis court, a market was booming and construction at Glyndebourne.
    [Show full text]
  • Spire Healthcare
    Putting quality at the heart of everything we do. Quality Account 2018–2019 About Spire Healthcare Spire Healthcare provides diagnostic, in-patient, daycase and outpatient care from our 39 hospitals, eight clinics and one oncology centre across England, Wales and Scotland. We also own and operate the sports medicine, physiotherapy and rehabilitation brand, Perform. Who we serve Our hospitals span the country, serving a diversified patient mix, made up of: − Private medical insurance (‘PMI’) − Self-pay − NHS patients Service coverage where it’s needed Our network of hospitals covers major population centres across the country. Map key Spire Healthcare Hospitals Spire Healthcare Clinics Spire Healthcare Diagnostic Centre Specialist Cancer Care Centre People per sq km 0–250 250–500 500–1,000 1,000–1,500 1,500–2,500 Contents 2 Chief Executive Officer’s strategic review 6 Resources and relationships 12 Clinical review 39hospitals 20 How we performed 22 Our plans 25 Review and assurance 30 Hospital performance data 32 CCG statement IBC Contact us 8clinics 1oncology centre 1diagnostic centre k 777patients k 7.5consultants + k full-time7.7 equivalent staff Spire Healthcare Group plc | Quality Accounts 2018–2019 | 1 Chief Executive Officer’s strategic review “We aim to be the most recognised and respected healthcare provider brand in the UK.” Justin Ash Chief Executive Officer 2 | Spire Healthcare Group plc | Quality Accounts 2018–2019 A year of challenge but also progress Spire Cambridge Lea hospitals – will help to make 2018 has been a challenging year for our all this possible. We have also made good progress stakeholders, and we recognise that the decline in developing our newer sites at Manchester, in profitability is a setback for the businesses’ Nottingham and St Anthony’s, all of whom made short-term growth ambitions.
    [Show full text]
  • Daftar Rumah Sakit Dan Klinik Rekanan Di Luar Indonesia
    PT ASURANSI JIWA MANULIFE INDONESIA Sampoerna Strategic Square, GF, North Tower Jln. Jenderal Sudirman Kav 45-46. Jakarta 12930 Telp.: (021) 2555 7777 ; Fax: (021) 2555 7799 Daftar Rumah Sakit dan Klinik Rekanan di Luar Indonesia Melayani Nasabah Manulife Prime Assurance, MiTreasure Optimax Protection, dan Proteksi Prima Rencana Utama Periode Juni 2021 No Country City Hospital Name Address Phone AFRICA 1 Algeria Zeralda Clinique Chifa Hydra Autoroute de Benaknoun +21321606262 2 Algeria Algiers Clinique Al Azhar Djenane Achabou 4, Dely-Ibrahim +21321917396 3 Algeria Algiers Clinique Chahrazed 4 Lot Allioua Fodil, 16014 Cheraga +213661869987 4 Algeria Hassi Messaoud Medilink Clinic Hassi Messaoud Medical Centre TSP, Route Nationale N 16, Route In Amenas, Hassi Messaoud +213779067211 5 Angola Benguela Clinica Sao Filipe (CSE) Rua do Malange 2 +244933755658 6 Angola Cabinda Clinica LubMed (CSE) 2 Rua de Macau +244231223358 7 Angola Huambo Clinica Sagrada Huambo (CSE) Largo do Petro, Cidade Alta +244937637808 8 Angola Huambo Clinica Sagrada Esperanca Huambo & Associados LDA Sao Pedro Urbano, Rua 110 - R C E - RC +244241225407 9 Angola Luanda Luanda, Clinica Sagrada Esperanca (CSE) 298 Rua Mortala Mohamed, Ilha de Luanda +244222309360 10 Angola Luanda Clinica Multiperfil Street Futungo Fine +244933644549 11 Angola Luanda Afrus Saude 49 Rua Sizenando Marques, Bairro Maianga +244222324680 12 Angola Luanda Centro Medico CSE Cauaco Bairro da Policia, Largo Antonio Moreira +244929399381 13 Angola Luanda Luanda Medical Center / Centro de Serviços
    [Show full text]
  • Sheffield's Language Education Policies
    Rev 28.11.08 Council of Europe CITY REPORT Sheffield’s Language Education Policies Cllr M. Reynolds January 2008 Final pre visit report 28.11.08 Council of Europe City Report: Sheffield’s Language Education Policies CONTENTS Section 1 Factual Description of Sheffield Page 1.1 Sheffield- general overview 6 1.2 Sheffield’s economy 8 1.3 Sheffield – ethnic composition and diversity 10 1.4 Sheffield – political and socio-economic structures 13 1.4.1 Political structures and composition 13 1.4.2 Social division 15 1.4.3 ‘Sheffield First’ 17 1.4.4 ‘Creative Sheffield’ 17 1.4.5 Sheffield Chamber of Commerce and Industry 18 1.5 Sheffield – home languages spoken by children 19 1.6 Policies and responsibilities for Language Teaching 21 1.6.1 Preface 21 1.6.2 Responsibilities for education 21 1.6.3 The education system in England 22 1.6.4 Types of school in England 23 1.6.4.1 Maintained 23 1.6.4.2 Other types of school 25 1.6.5 Current curriculum debates 26 1.6.6 Language education policy: the National Languages Strategy (2002) 27 1.6.7 Policy implementation 28 1.6.8 Higher education networks 29 1.6.9 Innovations in approaches to language education 30 1.7 Education in Sheffield 32 1.7.1 Children and Young People’s Directorate 32 1.7.2 Sheffield’s schools 34 1.7.3 ‘Transforming Learning Strategy’ 35 1.8 Teachers 36 1.8.1 Teacher training structures 36 1.8.2 Methodological approaches to language teaching 37 1.8.2.1 Primary 37 1.8.2.2 Secondary (Key Stage 3) 38 1.8.2.3 Secondary (Key Stage 4) 40 1.8.2.4 Beyond 16 40 2 Final pre visit report 28.11.08
    [Show full text]
  • To Read the Full Article CLICK to Download PDF
    QUARTERLY REVIEW Issue 3 TALL BUILDINGS Published by Robert Bird Group All rights reserved. 17052018 Making the Most of Tight Spaces Attaining Higher Expectations At Work PNB 118 - Tallest Building in Kuala Lumpur, Fifth Tallest Building in the World Shard - ICE Award Winning Construction Methodology Australia 108 - Tallest Residential Building in the Southern Hemisphere Crown Sydney Dubai’s ICD Brookfield Melbourne’s Southbank Precinct Queensbridge Tower REACHING The Spire London FOR THE SKY Reaching for the Sky Front cover image: Australia 108, Melbourne 2 Inside cover image: The Spire, London From the time of the earliest civilizations, there has been the desire to build the biggest, the tallest of structures. Visions of grandeur, be they in the eyes of kings or corporate giants, have inspired not only architects but also the engineers charged with realizing those visions. “When Robert Bird first started in Brisbane in 1982, a tall building would be 30 storeys,” recalls Robert Bird Group deputy chairman Grant Weir. “Today, it’s more like 50 storeys and up.” That shift in scale has elevated RBG into an exclusive league of structural engineers with the experience, technology and expertise to engineer some of the worlds tallest, best-known modern buildings. Reaching new heights presents new challenges and new standards of quality and safety. Achieving bold iconic designs calls for intense scrutiny of details, aided by modern technology’s ability to virtually build and test these mega-structures through building information modelling. “The higher you go, the more you have to deal with some age-old issues, one of the most significant being the ability to transport workers and materials during construction,” notes Simon Cloherty, director of UK Buildings at RBG.
    [Show full text]
  • London Borough of Tower Hamlets Five Year Housing Land Supply and Housing Trajectory Statement
    London Borough of Tower Hamlets Five-Year Housing Land Supply and Housing Trajectory Statement London Borough of Tower Hamlets Five Year Housing Land Supply and Housing Trajectory Statement 1. Introduction 1.1 The government requires local planning authorities to identify and maintain a five year supply of deliverable land for housing. This document sets out the London Borough of Tower Hamlets five-year supply position as of 1 February 2018, covering between 1 April 2017 and 31 March 2022. 1.2 The council is able to demonstrate a deliverable supply of 5.2 years or 21,321 homes over 1 April 2017 to 31 March 2022. This is a surplus of 744 homes when compared to the overall housing requirement of 20,578 homes. The assessment assumes that past under or over delivery would be addressed within the next five years of the plan and includes an additional 5% buffer requirement. 1.3 Assessed in conjunction with the five-year housing supply, chapter 7 of this document sets out the borough’s fifteen-year housing trajectory for the Local Plan period (2016-2031) which includes a total projected housing supply of 54,543 new homes. 1.4 This statement is an update of the statement published in October 2017 and has been produced to support the submission of the Tower Hamlets Local Plan and to reflect the most recent information available. This further endorses the approach set out in the housing delivery strategy which anticipates that housing output would be increased. Note that the housing figures set out in the Tower Hamlets Local Plan and Infrastructure Delivery Plan will remain the same as those published at the regulation 19 stage.
    [Show full text]
  • The Medical Starter Plan Private Medical Cover for Overnight & Longer Stays in Hospital
    THE MEDICAL STARTER PLAN PRIVATE MEDICAL COVER FOR OVERNIGHT & LONGER STAYS IN HOSPITAL . E INSU NC RA A N R C U E S . N I I N . S E U R C A N N A C R INSURANCE E U S . N I I N S . U E R C A This brochure includes promotional and contractual information N Promotional 1 HATHAT THETHE ASSOCIATIONSASSOCIATIONS SAYSAY You were introduced to the Medical Starter Plan through your membership of your sponsoring association or group. The Hospital and Medical Care Association has worked with over 1,000 W well known associations to offer its plans. This is what some of them say about us… W GEM Motoring Assist has been arranging a wide range of top quality services for its members since 1932. For the past nine years we have been delighted to add HMCA to our list of chosen service providers and have always found working with them to be a pleasant and efficient process. Many GEM members have benefited from this long-standing partnership which I hope will continue for many years to come. Paula Williams Chief Executive, GEM Motoring Assist Our members have been able to take advantage of HMCA medical insurance facilities for over ten years, the longest running benefit that we have offered, which is much appreciated by them! Gordon Rainsford Chief Executive, English Bridge Union HMCA has provided us with an excellent service, and has tailored several products to suit the needs of our organisation. We have found all products to be of a high quality and represent excellent value as a membership benefit.
    [Show full text]